Patient_Safety_Learning
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Everything posted by Patient_Safety_Learning
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Content ArticleDecision support tools, also called patient decision aids, support shared decision making by making treatment, care and support options explicit. They provide evidence-based information about the associated benefits/harms and help patients to consider what matters most to them in relation to the possible outcomes, including doing nothing. Decision support tool: bipolar disorder – is valproate the right treatment for me This decision support tool is for women, girls and anyone who could become pregnant, aged between 12 – 55, considering or taking valproate* for bipolar disorder. It has been produced as part of an NHS-wide effort to reduce the use of valproate in people who can get pregnant, and to help those that do continue with valproate to prevent pregnancies. Decision support tool: is valproate the right epilepsy treatment for me? This decision support tool is for women, girls and anyone who could become pregnant, aged between 12 – 55, considering or taking valproate* for epilepsy. It has been produced as part of an NHS-wide effort to reduce the use of valproate in people who can get pregnant, and to help those that do continue with valproate to prevent pregnancies.
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Content ArticleDecision support tools, also called patient decision aids, support shared decision making by making treatment, care and support options explicit. They provide evidence-based information about the associated benefits/harms and help patients to consider what matters most to them in relation to the possible outcomes, including doing nothing. This leaflet from NHS England will help you decide how to manage heavy periods. You could read it to prepare for your appointment with your healthcare professional.
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Content ArticleDecision support tools, also called patient decision aids, support shared decision making by making treatment, care and support options explicit. They provide evidence-based information about the associated benefits/harms and help patients to consider what matters most to them in relation to the possible outcomes, including doing nothing.
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This page includes a selection of key resources that support patient safety for newborn babies and children. It has been published alongside our own series of blogs of the same theme. It has been developed as part of our series for World Patient Safety Day 2025, which has the theme of Safe care for every newborn and every child. #Worldpatientsafetyday2025 #WPSD2025 -
Content ArticleDecision support tools, also called patient decision aids, support shared decision making by making treatment, care and support options explicit. They provide evidence-based information about the associated benefits/harms and help patients to consider what matters most to them in relation to the possible outcomes, including doing nothing. Decision support tool: making a decision about stable angina This tool can help you decide between treatment options. It is for people who have stable angina who have been asked to think about having treatment to help improve blood flow to the heart muscle. This is sometimes called revascularisation. This treatment would usually be in addition to taking medicines for angina. Decision support tool: making a decision about further treatment for atrial fibrillation This decision support tool is to help with decisions about atrial fibrillation. It includes information about the condition and possible treatments.
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World Patient Safety Day 2025 is dedicated to ensuring safe care for every newborn and child, with a special focus on those from birth to nine years old. This year’s slogan, “Patient safety from the start!”, emphasizes the urgent need to act early and consistently to prevent harm throughout childhood, and yield benefits across the life course. They have listed out a set of goals, calls to action and key messages. -
Content ArticleMortality rates decreased more slowly in the US than in other high-income countries (HICs) between 1980 and 2019,1 resulting in growing numbers of excess US deaths compared with other HICs. Authors of this research letter, published in JAMA Health Forum, assessed trends in excess US deaths before (1980-2019), during (2020-2022), and after (2023) the acute phase of the COVID-19 pandemic.
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Content ArticleThe seventh report in Pharmaceutical Society of Australia’s (PSA) medicine safety series, revealing the extent and nature of problems with medicine safety in Australia and driving change in the quality use of medicines. The report reveals: approximately 40 hospital admissions and 93 presentations to the emergency department daily due to medicine-related problems, half of which are preventable $130 million in annual costs associated with medicine-related harm in this age group, and an average of 12 hospital presentations and 8 hospital admissions per day due to poisoning by medicines. As part of the report, PSA also makes a series of actionable recommendations to address current medicine safety challenges across care settings ranging from a nationally co-ordinated monitoring system and mandatory dose checks, to increased availability of pharmacists on children’s wards.
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Content ArticleThe objectives of this study, published in The Joint Commission Journal on Quality and Patient Safety, were (1) to investigate the challenges in ensuring that all staff are aware of patients’ DNR orders, (2) to examine documentation of DNR orders at transitions of care, and (3) to improve knowledge about DNR orders in institutions and at transitions of care.
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Content ArticleIn this opinion piece for the British Medical Journal, Ilona Kickbusch and colleagues argue The World Health Organization needs to develop tech specific governance and accountability frameworks.
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Content ArticleIn this podcast, The Health Foundation speaks to Alan Milburn about the future of the NHS and his thoughts on the government’s 10-Year Health Plan. Alan was Secretary of State for Health from 1999 to 2003, during the Blair governments, with his tenure seeing the development of the NHS Plan (2000) and record levels of investment. As Lead Non-Executive Director at the Department of Health and Social Care, Alan also had a hand in writing and developing the new plan.
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Content ArticleIn this blog for Psch Safety, Tom Geraghty looks at the importance of Just Culture and the challenges in embedding it. "We all learn by making mistakes, but we don’t have time to make every mistake ourselves – so we need to learn from those of others. The power of a psychologically safe, restorative Just Culture lies in creating a space where people can tell their stories, with all the messy details, and share that valuable learning with others without fear of humiliation or retribution."
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Content ArticleIn this podcast, The Health Foundation speaks to Jeremy Hunt about the state of the NHS and his reaction to the government’s 10-Year Health Plan. Jeremy was Secretary of State for Health and Social Care between 2012 and 2018, in the Cameron and May governments, making him the longest serving health secretary to date. He later served as foreign secretary (2018–2019) and Chancellor of the Exchequer (2022–2024).
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Content ArticleThis blog by Chris Day, Director of Engagement at the Care Quality Commission, brings together what they've heard so far and shares where they’re heading next as they continue their work to co-design a regulatory approach that works for everyone. "Over the past few months, we’ve been on the road—meeting providers across the country to hear what’s working, what needs to improve, and how we can build a better approach to regulation together. From Manchester to Bristol, your feedback has been clear: you want more transparent communication, fairer and more consistent assessments, better digital tools, and stronger, more collaborative relationships with inspection teams. We’re listening—and we’re acting. Your insights are directly shaping our new assessment framework, the technology behind it, and how we work with you going forward".
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Content ArticleIntrauterine procedures for outpatients, such as hysteroscopy, have attracted negative media and parliamentary attention for being poorly tolerated by some women, causing pain and even trauma. In this BMJ feature, Adele Waters reports on how doctors are tackling the problem.
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Content ArticleIn this blog, the Charity Birthrights talks about a spate of inappropriate referrals that has recently come to their attention, involving both women and birthing people and healthcare professionals. They say these referrals are putting safety in maternity care at risk and are calling on the government to introduce a SAFE Maternity Care Act to uphold all women and birthing people’s right to choose where, how, and with whom they want to give birth, and to ensure the state meets its obligation to provide safe, respectful, and accessible care for all.
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Content ArticleAuthors of this Kings Fund blog make the case for compassionate leadership. They highlight there is ample evidence for the impact of this style of leadership in health and social care, including higher quality care, greater patient satisfaction, lower levels of workforce stress and burnout, and improved financial organisational performance. “You cannot wish an entire workforce out of a state of moral injury. Healing requires active engagement with compassion – both self-compassion and compassionate leadership.”
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Content ArticleAuthors identify five policy ideas that seem to guide key proposals in the 10-year plan, draw on evidence about their potential impact and stand back to see what it all adds up to for the NHS.
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Content ArticleAn inner-city tertiary care center with over 4,000 employees faced challenges with low participation rates in patient safety surveys and incident reporting, showing areas for improvement in leadership support and information exchange. The hospital implemented a comprehensive strategy addressing these challenges through updated educational resources, direct feedback on missed reporting opportunities, and robust Patient Safety and Quality team collaboration emphasizing leadership engagement. The integrated approach to patient safety resulted in enhanced transparency and a statistically significant, positive shift in the culture of safety. The collaborative efforts between Patient Safety and Quality departments, along with strong leadership support, were instrumental in these improvements. These findings highlight the importance of collaboration and leadership support in enhancing patient safety culture and transparency in healthcare organisations.
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Content ArticleThis operational guidance from the World Health Organization supports countries to appropriately introduce an antibiotic for the first time. It aims to ensure timely access, appropriate use and optimal patient outcomes, while minimizing the potential of emerging resistance, by offering guidance on how to introduce an antibiotic into national health care systems.
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Content ArticleThis study aimed to evaluate whether clinic continuity in general practice was associated with patient outcomes in Denmark. Findings suggest that longitudinal continuity at the clinic level in general practice can potentially reduce adverse patient outcomes and improve continuity across health-care sectors.
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Content ArticleThis book aims to provide a concise walkthrough on how innovation and its implementation can be understood, what we need to do to get the innovations necessary to address the needs of our populations, how we can make the best use of the innovations we have, and how we can transform our health systems to ensure we are equipped to keep learning from the ground up and innovating to meet new challenges.
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C83a7fe60c2ce454e84008b1fb96de93@Folu thank you for highlighting this change. We have edited the article to remove the reference to it being 'free'.
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Stephanie O'Donohue is the Founder of TIGER UK Group, a social enterprise set up to help improve patient experiences of gynaecology care through collaboration. In this blog she introduces a new survey, asking patients for their insights on vaginal access procedures. -
Content ArticleAt the June 2025 Royal College of Obstetrics and Gynaecology (RCOG) World Congress, Secretary of State for Health and Social Care Wes Streeting, called out the unacceptable state of current NHS maternity care. He also outlined key elements of a plan to improve. Although mentioned again in the 10 year plan for health, the detail, for now, is limited. But two key elements are prominent. First, a rapid investigation into ten maternity units across England will take a system wide look at maternity and neonatal care, reporting by the end of 2025. As well as delivering “truth and accountability” for families affected by poor care, the investigation seeks to bring together lessons from past inquiries and create a single set of actions for national maternity improvement. Second, a National Maternity and Neonatal Taskforce, comprising experts, families, and staff, will be established to drive improvement. The announcement has been broadly well received by organisations representing those using and delivering maternity services, and the commitment to working with families is welcome. But will it work? In this BMJ Opinion piece, authors consider Wes Streeting's proposed maternity plan and warn that we cannot afford another failed improvement effort.
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